| NPI | 1669918868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088700) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 097705) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2024-01-24 |